Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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OMM PHARMACY LLC

NPI: 1710590849 · BROOKLYN, NY 11222 · Pharmacy · NPI assigned 08/28/2020

$2K
Total Medicaid Paid
43
Total Claims
43
Beneficiaries
2
Codes Billed
2021-12
First Month
2021-12
Last Month

Provider Details

Authorized OfficialNAZGINOV, JOSEPH (OWNER)
NPI Enumeration Date08/28/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 43 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0004A 23 23 $838.00
0064A 20 20 $716.00